scholarly journals Effect of Deproteinized Dialysate from Vealers’ Blood on the Collagenogenesis in the Area of Polypropylene Hernioendoprosthesis ​​Implantation: аn Experimental Study

2021 ◽  
Vol 14 (1) ◽  
pp. 61-68
Author(s):  
Evgenij Gennadievich Obedkov ◽  
Sergej Viktorovich Ivanov ◽  
Ilya Sergeevich Ivanov ◽  
Inna Anatolievna Ivanova ◽  
Anna Igorevna Denisenko ◽  
...  
Keyword(s):  
Experimental Study ◽  
Clinical Practice ◽  
Connective Tissue ◽  
Necessary Conditions ◽  
Maximum Value ◽  
The Difference ◽  
Ventral Hernias ◽  
Postoperative Scar ◽  
Optimal Type

Introduction. The choice of the optimal type of hernia endoprosthesis, as well as introduction of drugs with a collagen-forming effect into clinical practice, will improve the quality of treatment in patients with ventral hernias due to the formation of the full-fledged connective tissue both in the area of ​​the postoperative scar and in the area of ​​the hernia endoprosthesis placement. The aim of the study was to identify the effect of deproteinized dialysate from vealers blood on neocollagenesis in the area of endoprosthetics.Materials and methods. The experimental study included 80 laboratory white mice, Wistar line. All animals were divided into two groups (control and experimental). A polypropylene hernioendoprosthesis was implanted in animals of both groups. The division into groups was due to the use of deproteinized dialysate from the vealers blood.Results. The use of a polypropylene hernioendoprosthesis for abdominal wall plasty combined with the use of deproteinized dialysate created the necessary conditions for accelerating the processes of proliferation and maturation of fibroblastic cells.Conclusion. The maximum value of the ratio of collagen fibers of types I and III was achieved on the 90th day of the study, the difference between the value of this parameter was 1.24 times greater in the group of animals where deproteinized dialysate was used.

scholarly journals PENGARUH PENERAPAN METODE JARIMATIKA TERHADAP KEMAMPUAN BERHITUNG BILANGAN BULAT POSITIF PADA SISWA KELAS IV A MIN MALAWELE

2020 ◽  
Vol 1 (1) ◽  
pp. 1-10
Author(s):  
Muhammad Akram G
Keyword(s):  
Experimental Study ◽  
Standard Deviation ◽  
Mathematics Learning ◽  
Statistical Calculation ◽  
Average Value ◽  
Minimum Value ◽  
Maximum Value ◽  
The Difference ◽  
Positive Integers ◽  
Academic Year

This research is motivated by the students' low numeracy skills. Based on the results of observations by researchers in class IVA during the implementation of PPL in the 2017/2018 academic year, from 21 students, there were 14 students who were not proficient in arithmetic (66%) and those who were proficient but still needed guidance, there were 7 students (34%). In this case, the researcher tried an experimental study in mathematics learning, especially positive integer material using the Jarimatika method. Based on the descriptive statistical calculation of the average pretest and posttest mean with a total of 21 students, the pretest average obtained a minimum value of 23.75, a maximum value of 96.25, an average value of 66.07, and a standard deviation of 18.688, while the average postest obtained a minimum value of 61.25, a maximum value of 97.50, an average value of 81.72 and a standard deviation value of 10.922. This study was declared successful by looking at the difference in the average pretest and postest results from 66.07 to 81.72. This shows that there is an effect of the Jarimatika method on the counting ability of positive integers in class IVA MIN Malawele, Sorong Regency

scholarly journals The Pilot Survey of the Perception on the Practice Pattern, Diagnosis, and Treatment on Korean Medicine Insomnia: Focusing on the Difference between Korean Medical Neuropsychiatry Specialists and Korean Medical General Practitioners

2018 ◽  
Vol 2018 ◽  
pp. 1-11 ◽  
Author(s):  
Jung-Hwa Lim ◽  
Jin-Hyung Jeong ◽  
Sang-Ho Kim ◽  
Kyeong-Ok Kim ◽  
Seung-Yeon Lee ◽  
...  
Keyword(s):  
Clinical Practice ◽  
General Practitioners ◽  
Medical Diagnosis ◽  
Response Rate ◽  
Diagnosis And Treatment ◽  
Pilot Survey ◽  
Pattern Diagnosis ◽  
The Difference ◽  
Guipi Decoction

Introduction. This study aims to investigate the clinical practice states on the diagnosis and treatment for insomnia between Korean medical general practitioners (KMGPs) and Korean medical neuropsychiatry specialists (KMNPSs). Methods. We distributed questionnaires via email or in person to 1,017 KMGPs and via email to 165 KMNPSs. We collected and analyzed responses from 305 (30.00%) KMGPs and 53 (32.12%) KMNPSs. Results. Most KMGPs and KMNPSs responded that the number of new patients visiting the clinic for treatment of insomnia was less than 10 per month (78.2%). Frequently utilized therapies for insomnia are acupuncture and herbal decoctions. Particularly acupoint GV20 and Guipi decoction were chosen with the highest response rate. There was no difference between KMNPSs and KMGPs in the traditional Korean medical diagnosis methods. However, KMNPSs utilized more various methods to diagnose, treat, and evaluate insomnia and educated more actively sleep hygiene compared to KMGPs. Conclusions. This survey showed how insomnia is currently diagnosed and treated in Korean medical care settings. Moreover, we identified some differences between KMNPSs and KMGPs. Further research is required to explore the underlying reasons for these discrepancies among KMDs and to improve the quality of Korean medical clinical practice in treating insomnia.

scholarly journals AB0954 IS CONNECTIVE TISSUE MASSAGE EFFECTIVE IN INDIVIDUALS WITH FIBROMYALGIA?

2020 ◽  
Vol 79 (Suppl 1) ◽  
pp. 1774.1-1775
Author(s):  
A. Keskin ◽  
B. Basakci Calik ◽  
E. Gur Kabul ◽  
V. Cobankara
Keyword(s):  
Quality Of Life ◽  
Connective Tissue ◽  
Treatment Method ◽  
Control Group ◽  
Treatment Results ◽  
Sf 36 ◽  
The Difference ◽  
Pre Treatment ◽  
Connective Tissue Massage

Background:Fibromyalgia (FM) is a systemic rheumatic disease characterized by diffuse pain in the body, tenderness, fatigue and many more symptoms. Exercise is effective and safe method in individuals with FM. Connective tissue massage, another treatment method, is a reflex therapy where shear force is applied in a certain order at the connective tissue interfaces of the skin. In the literature, there is limited study releted compared with clinical pilates exercises and connective tissue massage in individuals with FM.Objectives:The aim of the study was to examine the effectiveness of clinical pilates exercises and connective tissue massage in Individuals with Fibromyalgia on disease activity, number of painful regions, anxiety, biopsychosocial status and quality of life.Methods:32 women (age mean=52.43±8.32) diagnosed with FM according to American College of Rheumatology (ACR) criteria were included in this study. Participants were randomly divided into two groups as interventional group (n=15, mean age=48.80±7.48) and control group (n=17, mean age=55.64±7.87). While the connective tissue massage and clinical pilates exercises were applied to the treatment group, only clinical pilates exercises were applied to the control group. After the demographic characteristics and disease related data of the individuals were recorded; number of painful regions were assessed with Pain Location Inventory (PLI), disease impact with Fibromyalgia Impact Questionnare (FIQ), functional status with Health Assessment Questionnare (HAQ), anxiety with Beck Anxiety Inventory (BAI), quality of life with Short Form-36 (SF-36) and biopsychosocial status with Cognitive Exercise Therapy Approach (BETY) Scale were evaluated. All evaluations were made before and after treatment. All interventions were applied 3 days per week for 6 weeks by the same experienced physical therapist. One session for clinical pilates exercises consisted of 60 minutes (10 minutes warm up, 40 minutes clinical pilates exercises, 10 minutes cool-down). Connective tissue massage was started from lumbosacral region and continued lower thoracic, scapular, interscapular, and cervical regions, respectively. The Kolmogorov-Smirnov Test was used to determine whether the continuous variables were normal distributions.Results:When the pre-treatment and post-treatment results are analyzed; the results were significant in the intervention group of PLI (p = 0.007), SF 36 physical component (p = 0.025) and mental component (p = 0.017) and FIQ (p = 0.004), while in the control group the difference in SF 36 physical component (p = 0.008) and mental component (p = 0.024), FIQ (p = 0.001) and BAI (p = 0.043) was significant. Delta values were calculated by subtracting post-treatment results from pre-treatment results. When the delta values of the groups are compared, it was determined that the difference only in the PLI (p = 0.023) were significant in favor of the treatment group.Conclusion:According to our results, connective tissue massage has been shown to be effective in reducing the number of painful areas in addition to the positive effects of clinical pilates exercises in individuals with FM. In order to increase the effectiveness of treatment in individuals with FM, we recommend the use of connective tissue massage as an additional treatment method.References:[1]Busch, Angela J., et al. Exercise therapy for fibromyalgia. Current pain and headache reports 2011;15: 358.[2]Burckhardt CS. Nonpharmacologic management strategies in fibromyalgia. Rheumatic diseases clinics of North America, 2002, 28(2),291-304.Disclosure of Interests:None declared

Numerical Simulation of Influences of Process Parameters on the Spinning Moment and Quality of Double-Roller Clamping Spinning

2012 ◽  
Vol 433-440 ◽  
pp. 2219-2225
Author(s):  
Shu Qin Fan ◽  
Sheng Dun Zhao ◽  
Qi Zhang
Keyword(s):  
Numerical Simulation ◽  
Process Parameters ◽  
Wall Thickness ◽  
Feed Rate ◽  
Contact Length ◽  
Fe Model ◽  
Maximum Value ◽  
Maximum Wall Thickness ◽  
The Difference

In order to obtain the influences of process parameters on double-roller clamping spinning (DRCS) process, the finite element (FE) numerical simulation is performed. Firstly, on the basis of nonlinear FE analysis software ABAQUS/Explicit, the FE model for the DRCS process is established. Secondly, the reliability of the FE model is verified by the experiment results. Finally, using the verified FE model, influences of roller feed rate, initial wall thickness and contact length on the spinning moment, maximum wall thickness difference and flange difference of the DRCS process are studied. The results show that when roller feed rate increases, both the spinning moment and flange difference will increase, however, the maximum wall thickness difference will decrease. And the increase of initial wall thickness can cause all the spinning moment, the maximum wall thickness difference and the flange difference to increase. Furthermore, the increase of contact length can cause all the flange width, maximum wall thickness difference and spinning moment to increase, as well as the increase of the difference between the flange width and the contact length. In addition, it is concluded that the flange width has a maximum value for the definite blank. The results can provide the theoretical basis for determining the process parameters of DRCS.

Tracheomelodica: A Musical Device for Improving the Pulmonary Function of Laryngectomized Patients

2015 ◽  
Vol 7 (3) ◽  
pp. 8
Author(s):  
Patravoot Vatanasapt ◽  
Nida Chabnak ◽  
Nichanun Punya-ek
Keyword(s):  
Quality Of Life ◽  
Experimental Study ◽  
Lung Function ◽  
Pulmonary Function ◽  
Total Laryngectomy ◽  
Chest Expansion ◽  
Rehabilitation Period ◽  
Potential Benefits ◽  
The Difference

To determine the effectiveness of an innovative music instrument in improving the lung function of the patients undergoing total laryngectomy, this experimental study was conducted at Srinagarind Hospital, Khon Kaen, Thailand, from January - December 2013. The Tracheomelodica, a modified melodica for use via tracheostomes, was applied in laryngectomized patients from day 3 to day 14 postoperatively. The pulmonary function, chest expansion, and quality of life were measured on the pre-operative day and the 3rd and 14th days post operatively. Nine cases were eligible and recruited for the study. The pulmonary function was improved after the rehabilitation period, especially the peak expiratory flow, which was found to be significantly improved. Chest expansion also significantly increased on day 14 as compared with day 3. The quality of life tended to improve after the rehabilitation period, but the difference was not statistically significant. Tracheomelodica is a self administrated new devise for post laryngectomy patients that can be easily used with potential benefits for pulmonary function postoperatively.

Letter to the Editor: The Continuing Challenge of Evaluating RSD Impairment and Disability

1998 ◽  
Vol 3 (5) ◽  
pp. 8-10
Author(s):  
Robert L. Knobler ◽  
Charles N. Brooks ◽  
Leon H. Ensalada ◽  
James B. Talmage ◽  
Christopher R. Brigham
Keyword(s):  
Disability Evaluation ◽  
Body Part ◽  
Loss Of Function ◽  
Regulatory Requirements ◽  
Major Cardiac Event ◽  
Clinical Scenarios ◽  
Impairment Score ◽  
Occupational Activities ◽  
The Difference

Abstract The author of the two-part article about evaluating reflex sympathetic dystrophy (RSD) responds to criticisms that a percentage impairment score may not adequately reflect the disability of an individual with RSD. The author highlights the importance of recognizing the difference between impairment and disability in the AMA Guides to the Evaluation of Permanent Impairment (AMA Guides): impairment is the loss, loss of use, or derangement of any body part, system, or function; disability is a decrease in or the loss or absence of the capacity to meet personal, social, or occupational demands or to meet statutory or regulatory requirements because of an impairment. The disparity between impairment and disability can be encountered in diverse clinical scenarios. For example, a person's ability to resume occupational activities following a major cardiac event depends on medical, social, and psychological factors, but nonmedical factors appear to present the greatest impediment and many persons do not resume work despite significant improvements in functional capacity. A key requirement according to the AMA Guides is objective documentation, and the author agrees that when physicians consider the disability evaluation of people, more issues than those relating to the percentage loss of function should be considered. More study of the relationships among impairment, disability, and quality of life in patients with RSD are required.

Klein with Lacan: A Study on the Reception of Lacanian Ideas in Uruguay and Its Effects on Clinical Practices (1955–82)

2020 ◽  
Vol 22 (3) ◽  
pp. 341-361
Author(s):  
Gonzalo Grau-Pérez ◽  
J. Guillermo Milán
Keyword(s):  
Clinical Practice ◽  
Clinical Material ◽  
Clinical Practices ◽  
Before And After ◽  
The Difference ◽  
The 1960S ◽  
The Relationship ◽  
Discursive Approach ◽  
The Way ◽  
Clinical Cases

In Uruguay, Lacanian ideas arrived in the 1960s, into a context of Kleinian hegemony. Adopting a discursive approach, this study researched the initial reception of these ideas and its effects on clinical practices. We gathered a corpus of discursive data from clinical cases and theoretical-doctrinal articles (from the 1960s, 1970s and 1980s). In order to examine the effects of Lacanian ideas, we analysed the difference in the way of interpreting the clinical material before and after Lacan's reception. The results of this research illuminate some epistemological problems of psychoanalysis, especially the relationship between theory and clinical practice.

COMBINATORIAL POLYNOMIALLY COMPUTABLE CHARACTERISTICS OF SUBSTITUTIONS AND THEIR PROPERTIES

2020 ◽  
Vol 7 (2) ◽  
pp. 34-41
Author(s):  
VLADIMIR NIKONOV ◽  
◽  
ANTON ZOBOV ◽  
Keyword(s):  
Mathematical Expectation ◽  
Point Of View ◽  
Small Range ◽  
Computational Point ◽  
Wide Range ◽  
Bijective Function ◽  
The Difference ◽  
Element Base ◽  
Selection Of

The construction and selection of a suitable bijective function, that is, substitution, is now becoming an important applied task, particularly for building block encryption systems. Many articles have suggested using different approaches to determining the quality of substitution, but most of them are highly computationally complex. The solution of this problem will significantly expand the range of methods for constructing and analyzing scheme in information protection systems. The purpose of research is to find easily measurable characteristics of substitutions, allowing to evaluate their quality, and also measures of the proximity of a particular substitutions to a random one, or its distance from it. For this purpose, several characteristics were proposed in this work: difference and polynomial, and their mathematical expectation was found, as well as variance for the difference characteristic. This allows us to make a conclusion about its quality by comparing the result of calculating the characteristic for a particular substitution with the calculated mathematical expectation. From a computational point of view, the thesises of the article are of exceptional interest due to the simplicity of the algorithm for quantifying the quality of bijective function substitutions. By its nature, the operation of calculating the difference characteristic carries out a simple summation of integer terms in a fixed and small range. Such an operation, both in the modern and in the prospective element base, is embedded in the logic of a wide range of functional elements, especially when implementing computational actions in the optical range, or on other carriers related to the field of nanotechnology.

Theory-Practice Gap: The Experiences of Nigerian Nursing Students

2018 ◽  
Vol 20 (1) ◽  
Author(s):  
Titilayo Dorothy Odetola ◽  
Olusola Oluwasola ◽  
Christoph Pimmer ◽  
Oluwafemi Dipeolu ◽  
Samson Oluwayemi Akande ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Nursing Students ◽  
Developing Country ◽  
The Body ◽  
Clinical Staff ◽  
Clinical Settings ◽  
Practice Gap ◽  
The Difference ◽  
Analyse Data ◽  
Theory Practice Gap

The “disconnect” between the body of knowledge acquired in classroom settings and the application of this knowledge in clinical practice is one of the main reasons for professional fear, anxiety and feelings of incompetence among freshly graduated nurses. While the phenomenon of the theory-to-practice gap has been researched quite extensively in high-income country settings much less is known about nursing students’ experiences in a developing country context. To rectify this shortcoming, the qualitative study investigated the experiences of nursing students in their attempt to apply what they learn in classrooms in clinical learning contexts in seven sites in Nigeria. Thematic content analysis was used to analyse data gained from eight focus group discussions (n = 80) with the students. The findings reveal a multifaceted theory-practice gap which plays out along four tensions: (1) procedural, i.e. the difference between practices from education institutions and the ones enacted in clinical wards – and contradictions that emerge even within one clinical setting; (2) political, i.e. conflicts that arise between students and clinical staff, especially personnel with a lower qualification profile than the degree that students pursue; (3) material, i.e. the disconnect between contemporary instruments and equipment available in schools and the lack thereof in clinical settings; and (4) temporal, i.e. restricted opportunities for supervised practice owing to time constraints in clinical settings in which education tends to be undervalued. Many of these aspects are linked to and aggravated by infrastructural limitations, which are typical for the setting of a developing country. Nursing students need to be prepared regarding how to deal with the identified procedural, political, material and temporal tensions before and while being immersed in clinical practice, and, in so doing, they need to be supported by educationally better qualified clinical staff.

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